CRYSTAL COVE RECOVERY LLC
NPI 1043151475
Substance Abuse Rehabilitation Facility in Laguna Beach, CA
About Crystal Cove Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL COVE RECOVERY LLC (NPI 1043151475) is a healthcare organization registered as a substance abuse rehabilitation facility in Laguna Beach, California and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through May 28, 2027 and lists John Tryon, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2324676
Crystal Cove Recovery, LLC · Laguna Beach, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crystal Cove Recovery LLC's NPI number?
The NPI number for Crystal Cove Recovery LLC is 1043151475. It was assigned to this organization in the NPPES registry on April 1, 2026.
Where is Crystal Cove Recovery LLC located?
Crystal Cove Recovery LLC is located at 533 Park Ave, Laguna Beach, CA 92651. The listed phone number is (949) 353-7162.
What is Crystal Cove Recovery LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Crystal Cove Recovery LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2324676) is associated with this NPI, valid through May 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Crystal Cove Recovery LLC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Crystal Cove Recovery Llc · NPI 1043151475
Substance Abuse Rehabilitation Facility organization in Laguna Beach, California. Organization record, active in the CMS NPPES registry since April 1, 2026.
## Identity
- **NPI:** 1043151475 (Entity type: Organization)
- **Enumerated:** April 1, 2026
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** John Tryon, DIRECTOR
## Practice location
- **Address:** 533 PARK AVE, Laguna Beach, CA 92651-2354
- **Phone:** (949) 353-7162
## Record status
- **NPPES last updated:** April 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043151475) · Data from the CMS NPPES public registry.